Permit (49) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 - 9 FPS2017 00169
COMMUNITY DEVELOPMENT Date Issued: 10/31/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Project: Spec Space Subdivision: None Lot: None
Project Description: Relocation of(4)fire alarm notification devices for tenant improvement.
Contractor: POINT MONITOR CORPORATION Owner: PORTLAND SW CENTER LLC
5863 LAKEVIEW BLVD STE 100 BY FELTON PROPERTIES INC
LAKE OSWEGO, OR 97035 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/31/2017 $75.30
12%State Surcharge-Building 10/31/2017 $9.04
Type of Use: COM Plan Review-Fire Life Safety-COM 10/31/2017 $30.12
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 10/31/2017 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: No Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $114.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,309.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to UNC by callin. 503.232.1987 or 1.800.332.2344.
Issued By: :'w , Permittee Signature: e,v/ l0,04 e eA"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
REGEIVFn
Fire Protection System FOR OFFICE: LSI ONLY
City of Tigard OCT 2 7 t 017 Received/dAfirffilrEirAm.M1 Permit No/56—C:.;0/
lig 11 13125 SW Hall Blvd.,Tigard,OR 9722 Date/B : �'0���
Plan Review
■ Phone: 503.718.2439 Fax: 503.59aa�8..l l 7fli lYl OF g t: °j,r? DateB : Other Penni{C /7� .2,Z
WA 1t D e Page 2 for
Internet:www.figard-or.govn Line: sJ 0 �'g rt 1 cif, 9 i 4z Notificd/Me hod:te Read) By: huts Supplemental emental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7632 SW Durham Rd. New dwelling area: square feet
City/State/ZiP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:300 Project name:Bridgeport Center 300 Spa, 5`ti C 2 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Fire alarm notification devices-relocate only Valuation: $51,309.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I TENANT Number of stories: 3
Name:Bridgeport Center Type of construction: 1/3
Address:7632 SW Durham Rd.Suite 300 Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON NOTICE
Business name:Point Monitor Corp. All contractors and subcontractors are required to be
Contact name:Brooke Williams licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5863 Lakeview Blvd#100 jurisdiction in which work is being performed.If the
City:'State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)627-0100 Fax::(
E-mail:bwilliams@pointmonitor.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Same as above (Please refer tofee scFedrrlet
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
CCB lic.:135901 Total permit fees: /�y,
Authorized signatur
Amount received:
`'I J This permit application expires if a permit is not obtained
Print name:Ben Breit Date:10/27/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.Building Permits FPS-PermdApp_031016.doc 440-4613T(I 1 02 COM WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and 12 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ❑ 6+devices: Plan review required and
(3)sets of plans. (3) sets of plans.
Additional description of work:
Type of System(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line 0 Yes 0 No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
B.) Type i Hood.:Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ /,3C 9 try
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B&C above): $
Permit fee based onproject valuation (see fee schedule): $
Permit fee based on square footage(see D above): $
State Surcharge(12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
(::\Users\beilliams\Desktop\1'1?RMIT 1,()RMS\Fire permit-city of tigard.doc 2
RECEIVEP OFFICE COPY
City ofTigard /1----- S ,,Za/7 -
Permit No.:
, II 13125 SW Hall Blvd.,Tigard,OR 97223
III
1.j C T 2 7 20i)(ate Received:
I Phone 503 718 2439 Fax 503 598 1960 /et,' -7// 7
Inspection Line: 503.639 4175
T/(l.AIt I) Internet www tigard-or gov CITY Of 116.1-ig.)
31)ILNNP: ;-13 tvlsa_v\1
FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: Bridgeport Center Suite 300 Occupancy: Same
Job Address: 7632 SW Durham Rd. Tigard, OR 97224 Suite: 300
Contractor: Point Monitor Corp. Phone: 503-627-0100
Valuation of work: $1,309
Type of System: (check one) ORequired EINon-required
(check one) DAutomatic [—Manual ElBoth
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(.5)
Number of Proposed Manual Alarm Stations: To be Added(max5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(mu 5) /To be Relocated(max 5) 4
1, Ben Breit Oregon Construction Contractors Board No. 135901
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
1) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
. ----_,
,,..
Signature: `-... , ----- ..,i--,-- — Date: 10/27/17
..,
Print Name: Ben Breit
1\Building\FormsffireAlannAllidavit_071514 docx Page I of I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7632 SW DURHAM RD 300, TIGARD, OR, 97224 December 29, 2017 at
8:55:18 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00169
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
Alarm tested
NFPA 72 completion report received
Violation Summary:
Inspector Contractor